Organization Active NPI

McKiever Clinic

  • Clinic/Center
  • Monticello, AR
National Provider Identifier
1770519100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
C5941 Issued in AR
Legal business name
MCKIEVER CLINIC
Practice address
766 H L Ross Dr
Monticello, AR 71655-5706
Phone
(870) 367-6822
Fax
(870) 367-0311
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William R McKiever, M.D.
Title
Owner
Phone
(870) 367-6822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X C5941 AR Primary

Addresses

Primary practice location

766 H L Ross Dr
Monticello, AR 71655-5706

Mailing address

PO Box 490
Monticello, AR 71657-0490
Phone (870) 367-6822

National Provider Directory

National Provider Directory

Locations

766 H L Ross Dr
Monticello, AR 71655
Phone (870) 367-6246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770519100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716570490",
            "telephone_number": "870-367-6822",
            "fax_number": "870-367-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 H L ROSS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555706",
            "telephone_number": "870-367-6822",
            "fax_number": "870-367-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKIEVER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKIEVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-367-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "C5941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.